Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $790.59 / $790.59 / $790.59	Facility	AA	$790.59	$790.59	$790.59
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $298.08 / $336.15 / $672.30	Facility	QK	$298.08	$336.15	$672.30
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $285.00 / $697.33 / $920.79	Facility	QX	$285.00	$697.33	$920.79
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $336.15 / $336.15 / $336.15	Facility	QY	$336.15	$336.15	$336.15
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,366.37 / $1,366.37 / $1,366.37	Facility	QZ	$1,366.37	$1,366.37	$1,366.37
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $790.59 / $790.59 / $790.59	Facility	AA	$790.59	$790.59	$790.59
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $336.15 / $336.15 / $672.30	Facility	QK	$336.15	$336.15	$672.30
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $202.85 / $315.72 / $920.79	Facility	QX	$202.85	$315.72	$920.79
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $336.15 / $336.15 / $336.15	Facility	QY	$336.15	$336.15	$336.15
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $1,366.37 / $1,366.37 / $1,366.37	Facility	QZ	$1,366.37	$1,366.37	$1,366.37